Dalteparin, Nadroparin and Tinzaparin: Dosed within 3–5 half-lives of LMWH: Protamine 1 mg IV per 100 anti-Xa units of LMWH (up to 50 mg in a single dose) OR rFVIIa 90 mcg/kg IV if protamine is contraindicated

I am joined by Tony Mazzeo MD, Chairman of Emergency Medicine at Mercy Catholic Medical Center and Vice Chairman of Mercy Operations for me here at Drexel Emergency Medicine. Tony and I tackle the ever important concept of efficiency and try to distill it down to some basic tips. Here’s the Hot Stove Tips:

1) empty the beds
2) Start with the dispo in mind (leave the room with a plan) and identify blockers
3) measure and track your throughput
4) anticipate problems
5)process in parallel and not in serial

Hope you enjoy it and let me know if you agree or have other great ideas!!!

Changes ahead in pregnancy labeling that will eliminate the ABCDX categories and supplant them with evidence specific information. Get ready/comfortable with understanding the risks of drugs for your patients and communicating that risk appropriately. Many of your former category B drugs may have risks (acetaminophen, ondansetron) and you may not be prescribing the safest drugs available – e.g. pyridoxine/doxylamine combination is the safest out there for morning sickness. But wait – isn’t that Bendectin, listen on to find out more…